Silent Auction Donation Form
Donor Representatives Name: _______________
Donor Company Name:____________________
Mailing Address:_________________________
Physical Address:________________________
EMAIL:________________________________
Phone Number:__________________________
Description of item or service being donated
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
Approximate Retail Value: ____________________
Thank you for your support!
Please return this form or email the same information to
Kelly by January 14th
t
, 2013 to be included in the Digital
Auction Brochure.
Harris County Chamber of Commerce
112 S. College St.| P.O. Box 426| Hamilton, GA 31811
Phone 706-628-0010 | Fax 706-628-4429